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Child's Information
Please complete one form per child
Please note: There is a 3% fee added to all credit card transactions. To bypass this fee, please contact, youth@congregationortzion.org. Enrollment in Or Tzion's youth groups is contingent upon signed child and parent code of conduct forms. You can find these forms at Congregation Or Tzion Youth.
Medical Information
Field Trips
I hereby authorize my child to participate in field trips and programs with Or Tzion's Youth Groups. I agree to hold our Congregation (including its board, officers, staff, and volunteers) harmless from any and all claims that may arise out of his/her participation in trips and programs. Note: Parents will receive advance notice about field trips held throughout the year.
Publicity Release For Minors
We occasionally submit pictures of our activities for publication and/or post them on our website. Please select your permission to publish pictures of your child. I hereby consent to the publication of photographs, quotes, and video of my son/daughter on the Or Tzion website and social media sites for the duration of my child's enrollment. Please note if you are okay with pictures and video and name listing, or okay for pictures and videos with names withheld.
Parent Information
Emergency Contacts
Please list two emergency contacts.
Payment Information
Thu, April 25 2024 17 Nisan 5784